WA-470-1 Addendum to the Provider Agreement to Electronically Fil

WA-470-1

U.S. DEPARTMENT OF AGRICULTURE
Farm Service Agency
United States Warehouse Act

(04-01-02)

Form Approved - OMB No. 0560-0120

FARM SERVICE AGENCY
ADDENDUM TO THE PROVIDER AGREEMENT
TO ELECTRONICALLY FILE AND MAINTAIN UNITED STATES
WAREHOUSE ACT COTTON WEIGHT CERTIFICATES

This Addendum between
(hereafter ''Provider'') and the Farm Service Agency (hereafter ''FSA'') authorizes the Provider to
establish and maintain a database and system for the purpose of electronically filing cotton
weight certificates issued under the United States Warehouse Act (hereafter ''USWA'') in a
central data filing system (hereafter "central filing system'' or ''CFS''). Such electronically filed
certificates are hereafter referred to herein as Ifelectronic cotton weight certificates (ECWCs).''
This Addendum sets forth the Provider's minimum requirements for ECWC record formatting,
reporting requirements, and the protocols to be used in the transmission of such information.
I. Document Record Data Requirements
FSA, in administration of the USWA, the regulations found at 7 CFR Part 735, the
Provider Agreement To Electronically File And Maintain Electronic Warehouse
Receipts and United States Warehouse Act Documents and this Addendum, may at any
time require the Provider to furnish information beyond the minimum requirements
shown in this Addendum.
A. Required Information
The Provider shall, at a minimum make the elements listed below available to every
USWA warehouse operator issuing ECWCs in the CFS. The Provider shall ensure that all
of these fields are completed by all warehouse operators. It is each individual warehouse
operator's responsibility to supply the necessary data to complete each element. This
Addendum does not restrict the number of fields that may be made available to
warehouse operators.
License number
Certificate number
Issuance date
Name of warehouse
Location of warehouse (City)
Location of warehouse (State)
Location of cotton at the time of this service
Identification of each bale
Gross weight
Tare weight
Net weight

WA-470-1 (04-01-02)

Remarks on condition (wet etc.)
Name of person authorized to sign certificate
Terms and conditions (These terms and conditions that apply to each ECWC must be
furnished by the individual warehouse operator issuing the ECWCs. Refer to Item III for
required statements).
B. Additional Information
The Provider shall, at a minimum make the elements listed below available to every
USWA warehouse operator issuing ECWCs in the CFS. The Provider shall ensure that all
of these fields are completed by all warehouse operators. It is each individual warehouse
operator's responsibility to supply the necessary data to complete each element. This
Addendum does not restrict the number of fields that may be made available to warehouse
operators. FSA may allow a user of the Providers system to modify the elements listed
below without being the holder of the certificate. The Provider shall notify the current
holder of the certificate of any changes.
Holder
Warehouse Code
Paper certificate number (if applicable) License Type, US if Federally Licensed, NL if not
licensed or the two letter Postal abbreviation if State Licensed, will precede or follow the
certificate number
C. Converting Electronic to paper
When converting from an electronic to a paper certificate, the Provider shall advise the
warehouse operator to print on the face of the paper certificate the ECWC number.
II. Transmission of Data
Upon request by FSA, all transmissions of data shall be secured and transmitted via
telecommunications hardware and software according to the requirements described in
Attachment I Provider Specifications for interfacing with Warehouse Examiners'
Communications Software (WECS).

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WA-470-1 (04-01-02)

III. Terms and Conditions for USWA Licensed Warehouse
Operators
The following information must be shown on all ECWCs.
The statements:
''United States Warehouse Act, Cotton Weight Certificate''
''Certificate issued by a weigher licensed under the United States Warehouse Act
and the regulations thereunder''

Provider
Signature
Title
Date
Director, Kansas City Commodity Office, FSA
Date

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its programs and activities on the basis of race, color, national origin, gender, religion, age, disability,
political beliefs, sexual orientation, and martial or family status. (Not all prohibited bases apply to all programs.) Persons with disabilities who require alternative means for
communication of program information (Braille, large print audiotape, etc.) should contact USDA's TARGET Center at (202) 720-2600 (voice and TDD). To file a complaint of
discrimination, write USDA, Office of Civil Rights, Room 3~6-W, Whitten Building, 14th and Independence Avenue, SW, Washington, D.C. 20250-941 0 or call (202) 720-5964
(voice or TDD). USDA is an equal opportunity provider and employer.
The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. The authorityfor requesting
the following information is the regulations at 7 CFR 735. The information will be used to complete the terms of a license and contract between the warehouse operator and the
Deputy Administrator Commodity Operations. Furnishing the requested information is voluntary, however, without it, eligibilityto become a provider underthe United States
Warehouse Act and the decision as to the applicant's eligibility for a provider agreement must be made in part on the basis of the information provided. This information may be
provided to other agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies and in response to a court magistrate or administrative tribunal.
The provisions of criminal and civil fraud statutes, including 18 U.S.C. 286, 287, 371, 641, 651, 1 001, 1 01 ~, and 31 U.S.C. 3729, may be applicable to the information
provided.
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it
displays an OMB control number. The valid OMB control number of this information collection is 0560-0120. The time required to complete this information collection is
estimated to average 30 minutes per response, including the time for reviewing instructions searching existing data sources gathering and maintaining the data needed and
completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO THE KANSAS CITY COMMODITY OFFICE, POST OFFICE BOX 419265,
KANSAS CITY, MO 64141-6205.

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